Neinstein Ryan M, Matarasso Alan, Abramson David L
New York and Great Neck, N.Y.; and Englewood, N.J. From private practice; Manhattan Eye, Ear, and Throat Hospital, North Shore Long Island Jewish Health System; Lenox Hill Hospital; Mount Sinai School of Medicine; and the Department of Plastic Surgery, Englewood Hospital and Medical Center.
Plast Reconstr Surg. 2015 Apr;135(4):1021-1025. doi: 10.1097/PRS.0000000000001135.
Patients requesting abdominoplasty often have concomitant umbilical hernias and may request simultaneous treatment. The vascularity of the umbilicus is potentially at risk during these combined procedures. In this study, the authors present a technique for treating umbilical hernias at the time of abdominoplasty surgery using the Ventralex hernia patch.
A total of 11 female patients with a mean age of 39.4 years (range, 28 to 51 years) undergoing abdominoplasty with umbilical hernia repair with the Ventralex patch were included.
The mean body mass index was 27.6 kg/m (range, 20 to 34 kg/m). No vascular compromise of the umbilicus was seen. The hernia repair did not alter the abdominoplasty results. One patient had transient umbilical swelling postoperatively that resolved within 6 months postoperatively.
The authors present a series of umbilical hernia repairs in abdominoplasty patients using a minimal access incision by means of the rectus fascia and the Ventralex patch that is fast and reliable and preserves the blood supply to the umbilicus.
要求行腹壁成形术的患者常伴有脐疝，可能会要求同时进行治疗。在这些联合手术过程中，脐部的血供可能会受到影响。在本研究中，作者介绍了一种在腹壁成形术时使用Ventralex疝修补片治疗脐疝的技术。
纳入11例平均年龄39.4岁（范围28至51岁）的女性患者，她们接受了使用Ventralex修补片进行脐疝修补的腹壁成形术。
平均体重指数为27.6kg/m²（范围20至34kg/m²）。未发现脐部血供受损情况。疝修补术未改变腹壁成形术的效果。1例患者术后出现短暂的脐部肿胀，在术后6个月内消退。
作者介绍了一系列在腹壁成形术患者中通过腹直肌筋膜和Ventralex修补片采用小切口进行脐疝修补的方法，该方法快速可靠，且保留了脐部的血供。
